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1790064384
COURTNEY PAIGE PENDERGRAFT
KINGSPORT, TN
NPI
1790064384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024169574)
Enumeration Date
2011-08-12
Last Update Date
2011-08-12
Business Address
Mrs. COURTNEY PAIGE PENDERGRAFT FNP
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
Mrs. COURTNEY PAIGE PENDERGRAFT FNP
PO BOX 11724
KNOXVILLE, TN 37939-1724
Phone number: 865-766-8800
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